3 Message from the Lords,A Message was brought from the Lords, as follows:

The Lords have agreed, without Amendment, to the Amendments made by this House to the Children Bill [Lords].

4 Family Doctor Services,A Motion was made, and the Question being proposed, That this House places the highest importance on the role of general medical practitioners, working with allied healthcare professionals, constituting a family doctor service; regards this service as the lynch-pin of NHS primary care services and central to public health promotion; appreciates that general practitioners are best placed to provide care for patients, to facilitate their access to NHS services and to manage care of those suffering from chronic diseases and co-morbidities; is concerned by the continuing level of general practitioner vacancies and workload pressures; regrets the Government's devaluation of the family doctor's role in favour of an emphasis on diverse means of access to the NHS; deplores the failure to maintain the out-of-hours service as a general practitioner-led service and the loss of Saturday morning surgeries; calls on the Government to ensure that the NHS Programme for information technology delivers the choice of suppliers and functionality which general practitioners need; further regards the Government's abandonment of general practitioner fundholding and commissioning as a severe misjudgement and urges the reintroduction of the benefits of fundholding through the adoption of practice-led commissioning; and believes that the development of family doctor-led commissioning, alongside increasing patient choice, offers the best means of delivering an effective NHS which is responsive to patients' needs and wishes(Mr Andrew Lansley);

An Amendment was proposed to the Question, in line 2, to leave out from the word 'House' to the end of the Question and add the words 'welcomes the increase in general practitioner numbers; supports the expansion of primary care provision through walk-in centres and NHS Direct to meet the needs of patients; welcomes the new arrrangements for the National Health Service out-of-hours services that provide an opportunity to integrate primary, secondary and social care, whilst guaranteeing high quality urgent care across the country including Saturday mornings and improving the quality of life for general practitioners; acknowledges the progress made on the NHS Programme for information technology; supports the introduction of practice-based commissioning which fosters clinical engagement whilst mitigating the worst excesses of general practitioner fundholding; and believes that the general development of practice-based commissioning will deliver improved patient care', instead thereof.(Mr John Hutton.)
And the Question being put, That the original words stand part of the Question, pursuant to Order [4th November] and Standing Order No. 31 (Questions on amendments);
The House divided.

Tellers for the Ayes, Mr Hugo Swire, Andrew Selous: 118.

Tellers for the Noes, Jim Fitzpatrick, Gillian Merron: 286.

So the Question was negatived.
And the Question being put forthwith, That the proposed words be there added;
The House divided.

Tellers for the Ayes, Gillian Merron, Jim Fitzpatrick: 257.

Tellers for the Noes, Mr John Randall, Mr Hugo Swire: 149.

So the Question was agreed to.
The Deputy Speaker forthwith declared the Main Question, as amended, to be agreed to.
Resolved, That this House welcomes the increase in general practitioner numbers; supports the expansion of primary care provision through walk-in centres and NHS Direct to meet the needs of patients; welcomes the new arrrangements for the National Health Service out-of-hours services that provide an opportunity to integrate primary, secondary and social care, whilst guaranteeing high quality urgent care across the country including Saturday mornings and improving the quality of life for general practitioners; acknowledges the progress made on the NHS Programme for information technology; supports the introduction of practice-based commissioning which fosters clinical engagement whilst mitigating the worst excesses of general practitioner fundholding; and believes that the general development of practice-based commissioning will deliver improved patient care.

5 Public Petitions,Public Petitions from

(1) the Oldchurch Residents' Action Group for a review of proposals to build a Mental Health Unit and residential development on the Oldchurch Hospital Site, Romford; and

(2) the friends of Andrei Bazanov for a review of the decision to deport him

were presented and read; and ordered to lie upon the Table and to be printed.

6 Adjournment,Resolved, That this House do now adjourn.(Mr Nick Ainger.)

And accordingly, the House, having continued to sit till twenty-nine minutes to Six o'clock, adjourned till Monday 15th November.
[Adjourned at 5.31 p.m.

Michael J. Martin

Speaker

Mr Speaker will take the Chair at half-past Two o'clock on Monday next.

4 Government Resources and Accounts,Report and Accounts of the Highways Agency for 2003-04, with the Report of the Comptroller and Auditor General thereon [by Act]; to be printed [No. 1230] [Mr Secretary Darling].

6 Provisional Orders (Scotland),Report by the Secretary of State for Scotland, the Lord Chairman of Committees of the House of Lords and the Chairman of Ways and Means in the House of Commons under the Private Legislation Procedure (Scotland) Act 1936, That they have taken into consideration the representations which have been made to the Secretary of State for Scotland by HBOS plc that they desire to obtain the Parliamentary powers specified in the Schedule therein, to be operative in Scotland and elsewhere, and that it is expedient that such powers should be conferred by one enactment because it is necessary to provide for the uniform regulation in Scotland and elsewhere of the affairs of HBOS plc and are of the opinion that the said powers would be more properly obtained by the promotion of a Private Bill than by the promotion of a Private Bill and of a draft Provisional Order under the Private Legislation Procedure (Scotland) Act 1936 [by Act] [Mr Secretary Darling].

7 Treaty Series (No. 43, 2004),Agreement, done at Dar es Saalam on 18th August 2004, between the Government of the United Kingdom of Great Britain and Northern Ireland and the United Republic of Tanzania concerning Air Services [by Command] [Cm. 6368] [Mr Secretary Straw].

APPENDIX II

Reports from Select Committees

1 Environmental Audit,(1) Seventh Special Report from the Environmental Audit Committee [Government Response to the Eighth Report from the Committee, Session 2003-04, on Greening Government 2004]; to be printed [No. 1259];

(2) Minutes of Evidence taken before the Committee on 10th November [Housing: Building a Sustainable Future?]; to be printed [No. 709-viii]; and

(3) Minutes of Evidence taken before the Environmental Crime Sub-Committee of the Committee [Environmental Crime: Corporate Crime]; to be printed [No. 1135-iii]

[Mr Peter Ainsworth].

2 Health,Minutes of Evidence taken before the Health Committee [The Influence of the Pharmaceutical Industry]; to be printed [No. 1030-iii] [Mr David Hinchliffe].

3 Public Accounts,Minutes of Evidence taken before the Committee of Public Accounts on 10th November [Improving public transport in England through light rail]; to be printed [No. 1258-i] [Mr Edward Leigh].

4 Public Administration,(1) First Special Report from the Select Committee on Public Administration [Government Response to the Third Report of the Committee on Ministerial Accountability and Parliamentary Questions]; to be printed [No. 1262]; and

(2) Minutes of Evidence taken before the Committee [Government by Inquiry]; to be printed [No. 606-vii]

[Tony Wright].

[W.H., No. 100]

Minutes of Proceedings of the Sitting in Westminster Hall

The sitting commenced at half-past Two o'clock.

Adjournment (The Western Balkans: the challenges of post conflict development),Resolved, That the sitting be now adjourned.(Gillian Merron.)